| NPI | 1548353345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DE 1989019189) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: DE C10000499) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-04-02 |